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�� <br />� <br />Owner <br />� <br />CITY OF EVERETT <br />PiPING TEST AFFIDAVIT <br />Job Address �?�� 3 �g� �F �'J EV�L•� Permit No. <br />The refrigerant Ilne / natural / LP / mecfical gas system (circle one) was tested at �� _ psi for a <br />total o( 15 minutes. ' <br />WIT�VESSED BY G � f'• Dale 3p !� <br />(si9mwro t r�yral:ng 9ss snrvzo) <br />INSTALLED 8Y <br />yasCve� <br />Date /l� ' S J— 1 3 <br />Please arrange for someone to be present on the date of requested inspectinn to provide access for <br />the inspection. <br />REFRIGE-iUNTCONTAINING PARTS OF iH'c SVSTEGTHAT IS FIELD FAECfED SHALL BETESTED FOR LE1K5A7TESi PRESSURES NOT <br />LESSTHAN THE LOWEfl OF THE DESI6�1 PRESSUFiES Ofl THE SETfING OFTHE PRESSURE RELIEF OEVICES.THE DESIGN PRESSUiiE <br />fOR TESTiNG SNALL BE THOSE USTED ON THE CAVDENSING UNR OR COh1PHE550R UNfT NAME PLATE (WAC 51 t2-1108) <br />Hard Copy - Job Site Pink Copy - Contraclor Wh(te Copy - Inspector <br />PWPTA (5/I�1 <br />